michigan men's diabetes project iii(mendiii): mind and motion

Conditions: Diabetes Mellitus, Type 2; Depressive Symptoms; Depression

Summary: the michigan men's diabetes project iii: mind \& motion is an 7-month pilot randomized clinical trial. the investigators are looking to recruit 80 black men with type 2 diabetes (t2d) (need to have diagnosis for at least one year) that are over the age of 18. participants also must be under the care of a physician for their diabetes, self report an hemoglobin a1c (a1c) of 7.0% or more in the last year, be willing to participate in study events (weekly physical activity, exercise and cognitive behavioral therapy (cbt) sessions, group discussion sessions, and in-person health assessments), have reliable internet access (steady internet connection or unlimited data) that will allow them to use a tablet/phone/computer to complete study related tasks, live in the wayne or washtenaw county, and have reliable transportation to in-person events. all participants will receive 8 hours/sessions of cognitive behavioral therapy. participants randomized to the intervention arm will also receive 8 sessions of guided exercise at the same time. following that they will also receive 8 group discussion sessions that will serve as on-going support. all sessions will be help via zoom. additionally, all participants will participate in the 4 health assessments will take place at baseline, 10 weeks, 18 weeks, and 30 weeks.


Eligibility criteria:
inclusion criteria: * african american/black males * age 18 years or older * ambulatory status * diagnosis of type 2 diabetes (t2d) for one year duration or longer * be under the care of a physician for their diabetes, self report an a1c of 7.0% or more in the last year * be willing to participate in study events (weekly physical activity, exercise and cbt sessions, group discussion sessions, and in-person health assessments) * have reliable internet access (steady internet connection or unlimited data) that will allow them to use a tablet/phone/computer to complete study related tasks * live in the wayne or washtenaw county\\ * have reliable transportation to in-person events exclusion criteria: * stage 2 hypertension as defined by joint national committee (jnc) viii * recent cardiac events * recent laser surgery for proliferative retinopathy * history of stroke * lower limb amputation * peripheral neuropathy * severe chronic obstructive pulmonary disease (copd) (e.g., basal oxygen) * class iii or iv heart failure * medical instability. per american college of sports medicine (acsm) guidelines, medical exclusion criteria will also include currently experiencing: * ongoing unstable angina * uncontrolled cardiac arrhythmia with hemodynamic compromise * active endocarditis * symptomatic severe aortic stenosis * acute myocarditis or pericarditis * acute aortic dissection * acute pulmonary embolism * pulmonary infarction * deep venous thrombosis * physical disability that precludes safe and adequate testing * chest discomfort with exertion * unreasonable breathlessness, or dizziness, fainting, or blackouts. as part of the screening process, the investigators will ask the participant to self-report on these conditions. participants who are currently receiving psychotherapy services for the treatment of depression from a mental health provider will be excluded. participants who are currently receiving only medication management from a psychiatrist will be included. if you are interested in the study, please complete our screening survey: https://redcapproduction.umms.med.umich.edu/surveys/?s=jnppedanx7klppf9. thank you so much!